Skill Acquisition/Utilization During Treatment for Childhood Behavior Problems

儿童行为问题治疗期间技能的获取/运用

• 批准号: 8246998
• 负责人: OLIVER JAMES LINDHIEM
• 金额: $ 13.88万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-05-01 至 2016-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8246998
• 关键词: Address; Adolescent; Attention; Behavioral; Child; Childhood; Clinical Research; Cognitive; Conduct Disorder; Development; Diagnosis; Disease; Disruptive Behavior Disorder; Educational process of instructing; Electronics; Elements; Evidence based treatment; Family; Goals; Health Technology; Healthcare; Individual; Intervention; Intervention Studies; Learning; Light; Link; Literature; Measures; Mental Health; Mental disorders; Methodology; Methods; National Institute of Mental Health; Oppositional Defiant Disorder; Outcome; Outcomes Research; Parents; Patients; Performance; Problem behavior; Process; Protocols documentation; Psychopathology; Randomized Clinical Trials; Research; Research Personnel; Risk; Severities; Strategic Planning; Symptoms; Technology; Training; Treatment outcome; base; career; community setting; diaries; digital; evidence base; improved; innovation; insight; novel; partial response; psychosocial; public health relevance; response; skill acquisition; skills; therapy design

DESCRIPTION (provided by applicant): The current proposal seeks to improve rates of response to evidence-based psychosocial treatments for childhood disruptive behavior disorders (Oppositional Defiant Disorder and Conduct Disorder) by focusing on the acquisition and utilization of specific skills (parent-management skills and cognitive-behavioral skills) learned during the course of treatment. Aim 1 is to develop measures and a methodology for assessing skill acquisition and skill utilization during the course of treatment, using performance based assessments and ecological assessment (electronic diary) strategies. Aim 2 is to assess determinates, correlates, and sequelae of skill acquisition and utilization. Aim 3 is to develop a pilot protocol for enhancing skill utilization by augmenting existing evidence-based treatments for childhood disruptive behavior disorders through the use of interactive health technologies. The current proposal will also allow the PI to gain additional training in 1) performance based assessment, 2) ecological assessment (electronic diary) approaches, 3) interactive health technologies, and 4) advanced training in treatment outcome research and related statistical analyses. These training goals, together with the specific aims of the research plan, will contribute to the PI's long-term career goal of becoming an independent investigator in applied clinical research and the treatment of children with disruptive behavior disorders in community settings. The research aims of this proposal are consistent with Strategic Objective 3 of the NIMH Strategic Plan, which is to, "develop new and better interventions for mental disorders that incorporate the diverse needs and circumstances of people with mental illness." Specifically, Strategy 3.1 of the NIMH Strategic Plan is to, "further develop innovative interventions and designs for intervention studies." Strategy 3.4 is to, "identify and systematically study elements of personalized mental health care." The current proposal is consistent with both of these strategies. PUBLIC HEALTH RELEVANCE: The findings from the current proposal will 1) provide the field with measures and methods for assessing skill- specific factors of change during the course of evidence-based psychosocial treatments for disruptive behavior disorders, 2) increase our understanding of the link between skill acquisition/utilization and treatment outcome, and 3) promote the routine use of digital technologies to enhance treatment delivery and optimize treatment outcome. It is expected that this project will have an important and lasting impact on the field of child and adolescent treatment research and that the findings will have wide-reaching applications for skills-based treatments for other mental health disorders.

描述（由申请人提供）：目前的提案旨在通过关注在治疗过程中学习到的特定技能（父母管理技能和认知行为技能）的获得和利用，提高对儿童破坏性行为障碍（对立违抗性障碍和行为障碍）的循证心理社会治疗的反应率。目标1是利用基于绩效的评估和生态评估（电子日记）策略，制定评估治疗过程中技能获取和技能利用的措施和方法。目的2是评估技能获得和运用的决定因素、相关因素和后遗症。目标3是制定一项试点方案，通过使用互动式卫生技术，加强对儿童破坏性行为障碍的现有循证治疗，从而提高技能的利用。目前的提案还将允许PI获得以下方面的额外培训：1)基于绩效的评估，2)生态评估（电子日记）方法，3)交互式健康技术，以及4)治疗结果研究和相关统计分析方面的高级培训。这些培训目标与研究计划的具体目标将有助于PI的长期职业目标，即成为应用临床研究和社区环境中破坏性行为障碍儿童治疗方面的独立调查员。该提案的研究目的与NIMH战略计划的战略目标3一致，即“开发新的更好的精神障碍干预措施，将精神疾病患者的不同需求和情况结合起来”。具体来说，NIMH战略计划的战略3.1是“进一步发展创新的干预措施和干预研究的设计”。战略3.4是“识别和系统地研究个性化精神卫生保健的要素”。目前的建议与这两项战略是一致的。